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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

RIVERSIDE METHODIST HOSPITAL

Columbus, OH · CCN 360006 · Rates published

25,307 distinct procedures filed
53 distinct payers
2,847,239 rate rows
2026-04-01 last MRF observed
Data quality

2,811,221 of 2,847,239 rate rows are consumer-grade (98.7%)

36,018 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 31,536
placeholder amount (≤ $0.02) — excluded from medians 2,921
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,020
template filing: same amount across many unrelated codes — excluded 252
percent-of-charges filed in the dollar field — excluded from medians 238
exceeds 10× this hospital's gross charge — excluded from medians 51
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.ohiohealth.com/siteassets/patients-and-visitors/preparing-for-your-visit/out-of-pocket-estimates/314394942_riverside-methodist-hospital_standardcharges.json
Found on page https://www.ohiohealth.com/billing-insurance/pre-visit-financial-checklist/healthcare-estimates-and-pricing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint b62d197b75d8d518… · 28,787,507 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,462.59 $3,316,462.59 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,248,445.72 $3,248,445.72 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,945,740.00 $2,945,740.00 $2,945,740.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,455,110.60 $2,455,110.60 $2,455,110.60 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $591,726.20 $1,532,840.61 $1,247,200.56 nat. median
$691,418
1.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $565,868.94 $1,494,072.70 $1,215,656.94 nat. median
$631,793
1.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $557,317.93 $1,431,726.69 $1,164,928.91 nat. median
$610,161
1.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $562,538.19 $1,399,676.98 $1,138,851.56 nat. median
$624,417
1.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $533,230.17 $1,326,591.48 $1,079,385.32 nat. median
$588,565
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $489,304.61 $1,322,619.59 $1,076,153.58 nat. median
$577,541
1.9× median
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 40 $495.54 $568,767.10 $393,363.00 nat. median
$818
outlier · 481.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 $336,560.13 $834,564.44 $336,560.13 nat. median
$370,165
0.9× median
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 32 $5,003.64 $381,463.10 $291,437.81 nat. median
$8,133
outlier · 35.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $202,792.32 $1,449,668.48 $218,838.96 nat. median
$261,939
0.8× median
PX-27800218
CDM 		Hc Hm3 Lvad Implant Kit W Controller 23 $87,370.65 $281,634.32 $209,625.55 nat. median
$258,912
0.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $141,956.10 $197,282.58 $169,619.34 nat. median
$75,807
outlier · 2.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $167,014.58 $525,009.29 $167,014.58 nat. median
$205,166
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $73,346.68 $673,554.60 $166,041.53 nat. median
$199,832
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $153,994.53 $151,769.78 nat. median
$63,643
outlier · 2.4×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 4 $63,342.28 $171,819.53 $148,360.77 nat. median
$69,291
outlier · 2.1×
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution 25 $427.72 $170,875.95 $130,549.23 nat. median
$24,377
outlier · 5.4×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 4 $55,272.32 $150,503.92 $129,955.41 nat. median
$65,655
2.0× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 1 $122,549.05 $122,549.05 $122,549.05 nat. median
$4,125
outlier · 29.7×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 5 $106,753.90 $143,145.89 $117,393.20 nat. median
$57,648
outlier · 2.0×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $110,901.76 $110,901.76 $110,901.76 nat. median
$111,503
1.0× median
64568
CPT 		Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 23 $39,487.81 $144,644.00 $110,508.02 nat. median
$27,651
outlier · 4.0×
61886
CPT 		Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 23 $39,487.81 $144,644.00 $110,508.02 nat. median
$27,176
outlier · 4.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $46,654.56 $697,789.00 $108,777.98 nat. median
$132,706
0.8× median
J9226
HCPCS 		Supprelin La Implant 4 $45,020.65 $122,659.48 $105,912.61 nat. median
$55,200
1.9× median
7
MS_DRG 		Lung Transplant 12 $101,779.43 $289,205.69 $101,779.43 nat. median
$122,690
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $9,286.94 $296,947.55 $94,539.36 nat. median
$114,305
0.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $89,211.24 $243,876.98 $89,211.24 nat. median
$108,240
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $78,483.70 $89,110.28 $89,110.28 nat. median
$96,134
0.9× median
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 27 $356.93 $117,427.33 $88,490.00 nat. median
$498
outlier · 177.8×
SUP-0550-0008
CDM 		Cath Impella 5.5 Heart Pump 23 $36,855.00 $118,800.00 $87,885.00 nat. median
$103,140
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $7,716.41 $343,275.73 $86,799.17 nat. median
$96,835
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 $85,143.73 $91,107.98 $85,687.19 nat. median
$46,399
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $7,721.92 $408,002.30 $85,656.82 nat. median
$100,978
0.8× median
PX-27800268
CDM 		Implant Impella Device 5.5 23 $34,603.30 $111,541.76 $83,022.56 nat. median
$107,739
0.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $81,280.01 $235,664.17 $81,280.01 nat. median
$99,646
0.8× median
SUP-1000100
CDM 		Cath Impella 5.5 Heart Pump Set W/smart Assist - 1000100 23 $33,579.00 $108,240.00 $80,073.00 nat. median
$92,796
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 12 $54,288.98 $934,772.22 $79,011.90 nat. median
$98,002
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $32,429.55 $347,710.92 $77,181.99 nat. median
$92,900
0.8× median
61885
CPT 		Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array 23 $27,465.98 $100,608.00 $76,864.51 nat. median
$19,880
outlier · 3.9×
J0202
HCPCS 		Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 40 $2,429.89 $116,350.05 $76,384.32 nat. median
$3,876
outlier · 19.7×
22867
CPT 		Insj Stablj Device W Dcmp 1lv 23 $26,312.29 $96,382.00 $73,635.85 nat. median
$17,039
outlier · 4.3×
J9266
HCPCS 		Pegaspargase 750 Unit/ml Injection Solution 27 $27,843.76 $89,752.78 $73,210.27 nat. median
$32,688
outlier · 2.2×
J1162
HCPCS 		Digoxin Immune Fab 40 Mg Intravenous Solution 27 $5,168.23 $97,759.95 $71,320.33 nat. median
$7,100
outlier · 10.0×

Other procedures at this hospital

Browse this hospital's 25,307 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,462.59 $3,316,462.59 $3,316,462.59 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 1 1 — — $3,248,445.72 $3,248,445.72 $3,248,445.72 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 1 1 — — $2,945,740.00 $2,945,740.00 $2,945,740.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 1 1 — — $2,455,110.60 $2,455,110.60 $2,455,110.60 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $591,726.20 $1,532,840.61 $1,247,200.56 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $565,868.94 $1,494,072.70 $1,215,656.94 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $557,317.93 $1,431,726.69 $1,164,928.91 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $562,538.19 $1,399,676.98 $1,138,851.56 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $533,230.17 $1,326,591.48 $1,079,385.32 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $489,304.61 $1,322,619.59 $1,076,153.58 2026-04-01
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 125 40 $568,767.10 $369,698.61 35% off $495.54 $568,767.10 $393,363.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 18 12 — — $336,560.13 $834,564.44 $336,560.13 2026-04-01
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 109 32 $381,463.10 $247,951.01 35% off $5,003.64 $381,463.10 $291,437.81 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 13 — — $202,792.32 $1,449,668.48 $218,838.96 2026-04-01
PX-27800218 CDM Hc Hm3 Lvad Implant Kit W Controller 95 23 $320,039.00 $208,025.35 35% off $87,370.65 $281,634.32 $209,625.55 2025-01-22
J7330 HCPCS Cultured Chondrocytes Implnt 4 2 — — $141,956.10 $197,282.58 $169,619.34 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 12 — — $167,014.58 $525,009.29 $167,014.58 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 39 14 — — $73,346.68 $673,554.60 $166,041.53 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 5 3 — — $56,824.55 $153,994.53 $151,769.78 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 6 4 — — $63,342.28 $171,819.53 $148,360.77 2026-04-01
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 98 25 $170,875.95 $111,069.37 35% off $427.72 $170,875.95 $130,549.23 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 4 — — $55,272.32 $150,503.92 $129,955.41 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $122,549.05 $122,549.05 $122,549.05 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 5 — — $106,753.90 $143,145.89 $117,393.20 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $110,901.76 $110,901.76 $110,901.76 2026-04-01
64568 CPT Incisicion For Implant Of Cranial Vagus Nerve Neurostim Electrode Array 95 23 $144,644.00 $94,018.60 35% off $39,487.81 $144,644.00 $110,508.02 2025-01-22
61886 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 2 Or More Electrode Array 95 23 $144,644.00 $94,018.60 35% off $39,487.81 $144,644.00 $110,508.02 2025-01-22
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 13 — — $46,654.56 $697,789.00 $108,777.98 2026-04-01
J9226 HCPCS Supprelin La Implant 6 4 — — $45,020.65 $122,659.48 $105,912.61 2026-04-01
7 MS_DRG Lung Transplant 18 12 — — $101,779.43 $289,205.69 $101,779.43 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 22 12 — — $9,286.94 $296,947.55 $94,539.36 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 12 — — $89,211.24 $243,876.98 $89,211.24 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 12 — — $78,483.70 $89,110.28 $89,110.28 2026-04-01
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 101 27 $133,440.15 $86,736.10 35% off $356.93 $117,427.33 $88,490.00 2026-04-01
SUP-0550-0008 CDM Cath Impella 5.5 Heart Pump 95 23 $135,000.00 $87,750.00 35% off $36,855.00 $118,800.00 $87,885.00 2025-01-22
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 14 — — $7,716.41 $343,275.73 $86,799.17 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 3 — — $85,143.73 $91,107.98 $85,687.19 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 23 12 — — $7,721.92 $408,002.30 $85,656.82 2026-04-01
PX-27800268 CDM Implant Impella Device 5.5 95 23 $126,752.00 $82,388.80 35% off $34,603.30 $111,541.76 $83,022.56 2025-01-22
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 12 — — $81,280.01 $235,664.17 $81,280.01 2026-04-01
SUP-1000100 CDM Cath Impella 5.5 Heart Pump Set W/smart Assist - 1000100 95 23 $123,000.00 $79,950.00 35% off $33,579.00 $108,240.00 $80,073.00 2025-01-22
215 MS_DRG Other Heart Assist System Implant 30 12 — — $54,288.98 $934,772.22 $79,011.90 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 13 — — $32,429.55 $347,710.92 $77,181.99 2026-04-01
61885 CPT Insert/Replace Cranial Neurostim Pulse Gen/Receiver W 1 Electrode Array 95 23 $100,608.00 $65,395.20 35% off $27,465.98 $100,608.00 $76,864.51 2025-01-22
J0202 HCPCS Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 125 40 $116,350.05 $75,627.53 35% off $2,429.89 $116,350.05 $76,384.32 2026-04-01
22867 CPT Insj Stablj Device W Dcmp 1lv 95 23 $96,382.00 $62,648.30 35% off $26,312.29 $96,382.00 $73,635.85 2025-01-22
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 101 27 $101,991.80 $66,294.67 35% off $27,843.76 $89,752.78 $73,210.27 2026-04-01
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 101 27 $111,090.85 $72,209.05 35% off $5,168.23 $97,759.95 $71,320.33 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 12 — — $6,445.39 $184,572.54 $71,177.47 2026-04-01
64628 CPT Thermal Destruction Intraosseous Bvn 1st 2 Lmbr Sac 119 36 $96,382.00 $62,648.30 35% off $11,486.85 $96,382.00 $70,358.86 2025-01-22
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 5 — — $63,844.99 $85,609.49 $70,207.90 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 1 1 — — $68,801.71 $68,801.71 $68,801.71 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 22 13 — — $24,836.26 $203,855.28 $68,458.65 2026-04-01
PX-27800238 CDM Perfusion Tavr Valve 95 23 $104,091.00 $67,659.15 35% off $28,416.84 $91,600.08 $68,179.61 2025-01-22
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 13 — — $23,960.91 $236,096.15 $66,675.62 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 13 — — $500.00 $209,603.40 $66,469.83 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 9 5 — — $17,919.92 $118,098.63 $65,015.25 2026-04-01
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 125 40 $93,700.65 $60,905.42 35% off $2,698.05 $93,700.65 $63,873.72 2026-04-01
48554 HCPCS Transpl Allograft Pancreas 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
47135 HCPCS Transplantation Of Liver 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
93583 HCPCS Hc Perq Transcath Septal Reduction 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0872T OTHER Rplcmt Ndwllg Bldr&prtl Cath 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0871T OTHER Rplcmt Subq Prtl Ascites Pmp 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0873T OTHER Revj Subq Prtl Asct Pmp Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0586T OTHER Open Islet Cell Transplant 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33945 HCPCS Transplantation Of Heart 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0585T OTHER Laps Islet Cell Transplant 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32853 HCPCS Lung Transplant Double 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0942T OTHER Cysto Flx Rmv&rplc Urtl Scaf 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37230 HCPCS Hc Revasc Endo Tibiopero W Stent 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
50365 HCPCS Transplantation Of Kidney 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
22860 HCPCS Tot Disc Arthrp 2ntrspc Lmbr 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33928 HCPCS Rmvl & Rplcmt Tot Hrt Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33929 HCPCS Rmvl Rplcmt Hrt Sys F/trnspl 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33935 HCPCS Transplantation Heart/lung 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0814T OTHER Prq Njx Biod Osteo Matrl Fem 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
54438 HCPCS Replantation Of Penis 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33422 HCPCS Revision Of Mitral Valve 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32852 HCPCS Lung Transplant With Bypass 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33391 HCPCS Valvuloplasty Aortic Valve 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
50360 HCPCS Transplantation Of Kidney 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33737 HCPCS Revision Of Heart Chamber 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7534 HCPCS Fem/pop Revasc W/arthr & US 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37231 HCPCS Hc Revasc/Endo Tibioper W Stnt&Ather 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32854 HCPCS Lung Transplant With Bypass 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33268 HCPCS Excl Laa Opn Oth Px Any Meth 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
50380 HCPCS Reimplantation Of Kidney 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33927 HCPCS Impltj Tot Rplcmt Hrt Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
32851 HCPCS Lung Transplant Single 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33269 HCPCS Excl Laa Thrscp Any Method 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
C7535 HCPCS Fem/pop Revasc W/stent & US 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0584T OTHER Perq Islet Cell Transplant 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
G0343 HCPCS Laparotomy Islet Cell Transp 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
G0342 HCPCS Laparoscopy Islet Cell Trans 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
37229 HCPCS Hc Revasc Endo Tibiopero W Atherectm 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33736 HCPCS Revision Of Heart Chamber 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
33267 HCPCS Excl Laa Open Any Method 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $63,079.00 $63,079.00 $63,079.00 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 13 — — $32,307.16 $311,209.05 $62,318.23 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 2 2 — — $60,650.62 $63,079.00 $61,864.81 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 13 — — $5,492.99 $353,443.78 $60,838.84 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 12 — — $30,151.33 $308,747.01 $60,581.79 2026-04-01
62362 CPT Hc Implant Or Replace Programmable Pump 95 23 $79,192.00 $51,474.80 35% off $21,619.42 $79,192.00 $60,502.69 2025-01-22
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 14 — — $11,606.15 $274,858.72 $60,385.32 2026-04-01
27279 CPT Hc Athrodesis Sacroiliac Joint W Img Guidance 95 23 $76,124.00 $49,480.60 35% off $20,781.85 $76,124.00 $58,158.74 2025-01-22
C1825 HCPCS Generator Pulse Implantable Kit Barostim Neo2 Sys With Lead 357 36 $94,500.00 $61,425.00 35% off $4,599.00 $105,000.00 $57,750.00 2025-01-22
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 42 14 — — $26,654.74 $178,222.61 $57,268.89 2026-04-01
10 MS_DRG Pancreas Transplant 18 12 — — $56,935.74 $176,441.61 $56,935.74 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 18 12 — — $56,912.44 $147,801.88 $56,912.44 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 12 — — $56,616.57 $175,425.80 $56,616.57 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 13 — — $34,310.39 $308,661.20 $56,583.95 2026-04-01
61635 CPT Hc Stent Intracranial Transcath 95 23 $72,630.00 $47,209.50 35% off $19,827.99 $72,630.00 $55,489.32 2025-01-22
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 13 — — $15,797.88 $475,578.32 $54,886.34 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 12 — — $17,574.95 $208,346.35 $54,623.08 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $24,228.42 $65,659.02 $54,575.82 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 13 — — $50,073.31 $151,108.25 $53,483.06 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 37 14 — — $12,784.29 $383,552.19 $53,136.71 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 13 — — $4,779.96 $343,052.99 $53,098.65 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 2 2 — — $42,470.57 $63,079.00 $52,774.79 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 2 2 — — $42,470.57 $63,079.00 $52,774.79 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 2 2 — — $42,470.57 $63,079.00 $52,774.79 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 12 — — $4,703.91 $210,649.15 $52,273.15 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 13 — — $36,294.26 $131,659.53 $52,273.15 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 12 — — $27,593.11 $136,278.27 $52,087.54 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 13 — — $23,819.12 $157,141.29 $51,181.27 2026-04-01
PX-27800171 CDM Hc Implant Impella Device 3.5 95 23 $77,288.00 $50,237.20 35% off $21,099.62 $68,013.44 $50,623.64 2025-01-22
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $49,338.18 $49,338.18 $49,338.18 2026-04-01
SUP-0046-0035 CDM Cath 22fr 170mm Impella Rp W/smart Assist 95 23 $75,000.00 $48,750.00 35% off $20,475.00 $66,000.00 $48,825.00 2025-01-22
SUP-0048-0003 CDM Cath Impella 3.5 Cp 95 23 $75,000.00 $48,750.00 35% off $20,475.00 $66,000.00 $48,825.00 2025-01-22
SUP-4000-0021 CDM Cath Impella 3.5 Cp C9 Bundle 95 23 $75,000.00 $48,750.00 35% off $20,475.00 $66,000.00 $48,825.00 2025-01-22
SUP-1000323 CDM Cath 22fr 170mm Impella Rp Flex W/smart Assist 95 23 $75,000.00 $48,750.00 35% off $20,475.00 $66,000.00 $48,825.00 2025-01-22
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 13 — — $38,737.47 $252,324.01 $48,802.61 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 12 — — $48,747.47 $263,819.20 $48,747.47 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 12 — — $45,539.11 $262,245.85 $48,291.62 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $47,919.99 $47,919.99 $47,919.99 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 30 13 — — $24,496.24 $355,642.95 $47,869.93 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 13 — — $30,117.89 $273,338.32 $47,856.73 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 13 — — $27,465.35 $130,411.19 $47,518.92 2026-04-01
69930 HCPCS Implant Cochlear Device 2 2 — — $31,792.44 $63,079.00 $47,435.72 2026-04-01
93656 CPT Ep Eval W Ablation A Fib Including 3d Mapping 119 36 $63,198.00 $41,078.70 35% off $13,840.36 $63,198.00 $47,398.50 2025-01-22
93654 CPT Ep Eval W Ablation Vt Including 3d Mapping 119 36 $63,198.00 $41,078.70 35% off $13,840.36 $63,198.00 $47,398.50 2025-01-22
93653 CPT Ep Eval W Ablation Svt Including 3d Mapping 119 36 $63,198.00 $41,078.70 35% off $13,840.36 $63,198.00 $47,398.50 2025-01-22
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 21 12 — — $2,894.00 $131,568.80 $47,366.71 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 28 13 — — $4,278.43 $140,000.00 $47,259.54 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 40 14 — — $4,198.35 $243,320.05 $46,785.05 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 13 — — $25,083.20 $231,524.40 $46,755.54 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 2 2 — — $30,265.83 $63,079.00 $46,672.42 2026-04-01
C1823 HCPCS Lead Lqs Respistim Stimulation With Add Tubing 357 36 $76,500.00 $49,725.00 35% off $5,913.00 $82,500.00 $46,665.00 2025-01-22
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
61886 HCPCS Implant Neurostim Arrays 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 2 2 — — $29,753.66 $63,079.00 $46,416.33 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 12 — — $24,860.88 $121,222.30 $45,996.82 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 14 — — $10,606.28 $313,328.81 $45,711.04 2026-04-01
J3241 HCPCS Teprotumumab-trbw 500 Mg Intravenous Solution 125 40 $70,672.90 $45,937.38 35% off $359.19 $70,672.90 $45,547.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 12 — — $4,082.67 $45,529.32 $45,529.32 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 12 — — $8,757.02 $371,291.98 $45,471.85 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 2 2 — — $27,657.11 $63,079.00 $45,368.06 2026-04-01
81416 HCPCS Exome Sequence Analysis 3 2 — — $12,000.00 $45,000.00 $45,000.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 12 — — $25,878.60 $250,603.93 $44,870.00 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 18 12 — — $44,734.87 $120,410.34 $44,734.87 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 2 2 — — $26,163.21 $63,079.00 $44,621.10 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 2 2 — — $26,163.21 $63,079.00 $44,621.10 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 12 — — $41,970.19 $110,719.18 $44,436.67 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 2 2 — — $25,202.69 $63,079.00 $44,140.85 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 2 2 — — $25,202.69 $63,079.00 $44,140.85 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 2 2 — — $25,202.69 $63,079.00 $44,140.85 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 12 — — $44,101.18 $135,811.31 $44,101.18 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 30 12 — — $22,238.44 $449,330.38 $43,844.13 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 40 14 — — $17,413.63 $299,697.52 $43,693.48 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 35 13 — — $26,507.62 $249,550.15 $43,632.90 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 12 — — $10,260.94 $119,410.02 $43,566.12 2026-04-01
0398T CPT MRI Guided High Intensity Focused Ultrasound Ablation Of Lesion 119 36 $57,968.00 $37,679.20 35% off $11,889.10 $57,968.00 $43,476.00 2025-01-22
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 18 12 — — $43,396.82 $133,571.65 $43,396.82 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 15 — — $26,857.85 $261,283.08 $42,624.13 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 26 13 — — $18,120.53 $153,452.11 $42,599.27 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 1 1 — — $42,470.57 $42,470.57 $42,470.57 2026-04-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 5 4 — — $42,111.78 $55,813.91 $42,413.17 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 12 — — $3,787.14 $297,819.85 $42,321.26 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 2 2 — — $21,447.74 $63,079.00 $42,263.37 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 39 14 — — $5,688.79 $231,062.13 $42,185.36 2026-04-01
SUP-71072662 CDM Frame 205mm Med Open Spatial Sn 95 23 $64,688.40 $42,047.46 35% off $17,659.93 $56,925.79 $42,112.15 2025-01-22
SUP-71073442 CDM Frame 155mm Med Foot Spatial Sn 95 23 $64,688.40 $42,047.46 35% off $17,659.93 $56,925.79 $42,112.15 2025-01-22
SUP-71072552 CDM Frame 180mm Med Open Spatial Sn 95 23 $64,688.40 $42,047.46 35% off $17,659.93 $56,925.79 $42,112.15 2025-01-22
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 12 — — $35,190.03 $236,205.77 $41,634.76 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 18 12 — — $41,564.87 $123,362.62 $41,564.87 2026-04-01
54401 HCPCS Insert Self-contd Prosthesis 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
54405 HCPCS Insert Multi-comp Penis Pros 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
53447 HCPCS Remove/replace Ur Sphincter 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
53444 HCPCS Insert Tandem Cuff 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
54417 HCPCS Remv/replc Penis Pros Compl 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
54411 HCPCS Remov/replc Penis Pros Comp 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
54416 HCPCS Remv/repl Penis Contain Pros 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
53445 HCPCS Insert Uro/ves Nck Sphincter 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
54410 HCPCS Remove/replace Penis Prosth 2 2 — — $19,984.58 $63,079.00 $41,531.79 2026-04-01
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 109 32 $61,569.90 $40,020.43 35% off $197.83 $61,569.90 $41,300.80 2026-04-01
0075T CPT Hc Transcath Stent Xtracran Cca Perc Initial Vessel 103 28 $50,656.00 $32,926.40 35% off $11,093.66 $50,656.00 $40,980.70 2025-01-22
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 2 2 — — $18,706.01 $63,079.00 $40,892.51 2026-04-01
63655 HCPCS Implant Neuroelectrodes 2 2 — — $18,706.01 $63,079.00 $40,892.51 2026-04-01
64590 HCPCS Insrt/redo Pn/gastr Stimul 2 2 — — $18,706.01 $63,079.00 $40,892.51 2026-04-01
64580 HCPCS Implant Neuroelectrodes 2 2 — — $18,706.01 $63,079.00 $40,892.51 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 2 2 — — $18,706.01 $63,079.00 $40,892.51 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
33229 HCPCS Remv&replc Pm Gen Mult Leads 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
33221 HCPCS Insert Pulse Gen Mult Leads 2 2 — — $18,572.54 $63,079.00 $40,825.77 2026-04-01
33365 CPT Hc Tavr Tavi Transaortic Approach 95 23 $53,222.00 $34,594.30 35% off $14,529.61 $53,222.00 $40,661.61 2025-01-22
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
36837 HCPCS Prq Av Fstl Crt Uxtr Sep Acs 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
36836 HCPCS Prq Av Fstl Crtj Uxtr 1 Acs 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
33902 HCPCS Perq P-art Revsc 1 Abnor Uni 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
93580 HCPCS Transcath Closure Of Asd 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
92933 HCPCS Prq Card Stent/ath/angio 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 2 2 — — $17,675.76 $63,079.00 $40,377.38 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $38,883.67 $101,632.19 $40,351.85 2026-04-01
62360 HCPCS Insert Spine Infusion Device 2 2 — — $17,378.99 $63,079.00 $40,228.99 2026-04-01
62361 HCPCS Implant Spine Infusion Pump 2 2 — — $17,378.99 $63,079.00 $40,228.99 2026-04-01
62362 HCPCS Implant Spine Infusion Pump 2 2 — — $17,378.99 $63,079.00 $40,228.99 2026-04-01
L8614 HCPCS Implant Ci 11112m Nucleus 24 Dbl Array Bundle 6 1,562 37 $60,333.39 $39,216.70 35% off $2,528.99 $84,294.51 $40,186.03 2025-01-22
25442 HCPCS Reconstruct Wrist Joint 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
25446 HCPCS Wrist Replacement 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
24363 HCPCS Replace Elbow Joint 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
24361 HCPCS Reconstruct Elbow Joint 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
28705 HCPCS Fusion Of Foot Bones 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
24371 HCPCS Revise Reconst Elbow Joint 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
22856 HCPCS Cerv Artific Diskectomy 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
23616 HCPCS Treat Humerus Fracture 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
27279 HCPCS Arthrodesis Sacroiliac Joint 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
27278 HCPCS Arthrd Si Jt Prq Wo Tfxj Dev 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
22867 HCPCS Insj Stablj Dev W/dcmprn 2 2 — — $16,906.49 $63,079.00 $39,992.74 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 14 — — $14,715.56 $212,496.84 $39,941.81 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 13 — — $16,396.16 $110,276.56 $39,631.18 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 14 — — $13,611.33 $282,479.97 $39,562.84 2026-04-01
64629 CPT Thermal Desctruction Intraosseous Bvn Ea Addtl Lmbr Sac 119 36 $48,192.00 $31,324.80 35% off $8,674.56 $48,192.00 $39,517.44 2025-01-22
22870 CPT Insj Stablj Device Wo Dcmp 2lv 119 36 $48,192.00 $31,324.80 35% off $8,674.56 $48,192.00 $39,517.44 2025-01-22
0308T OTHER Insj Ocular Telescope Prosth 2 2 — — $15,871.89 $63,079.00 $39,475.44 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 12 — — $23,434.79 $111,462.78 $39,431.60 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 12 — — $39,272.40 $119,394.53 $39,272.40 2026-04-01
34718 CPT Hc Endovasc Repair Of Iliac Artery Not Assoc W Aortoiliac Endograft Plcmt Unilat 95 23 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $38,743.97 2025-01-22
34708 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Rupt W Img 95 23 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $38,743.97 2025-01-22
34717 CPT Hc Endovasc Repair Of Iliac Artery At Time Of Aortoiliac Endograft Plcmt Unilat 95 23 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $38,743.97 2025-01-22
34707 CPT Hc Endvsc Rep Iliac Art By Ilio-iliac Endgrft Uni Not Rupt W Img 95 23 $50,712.00 $32,962.80 35% off $13,844.38 $50,712.00 $38,743.97 2025-01-22
471 MS_DRG Cervical Spinal Fusion With Mcc 29 12 — — $3,442.99 $128,852.99 $38,709.38 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 12 — — $23,011.28 $261,877.15 $38,519.89 2026-04-01
67027 HCPCS Implant Eye Drug System 2 2 — — $13,453.74 $63,079.00 $38,266.37 2026-04-01
33852 HCPCS Repair Septal Defect 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34704 HCPCS Evasc Rpr A-unilac Ndgft Rpt 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33305 HCPCS Repair Of Heart Wound 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33502 HCPCS Coronary Artery Correction 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33853 HCPCS Repair Septal Defect 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33503 HCPCS Coronary Artery Graft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34702 HCPCS Evasc Rpr A-ao Ndgft Rpt 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33858 HCPCS As-aort Grf F/aortic Dsj 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33300 HCPCS Repair Of Heart Wound 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33859 HCPCS As-aort Grf F/ds Oth/thn Dsj 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34703 HCPCS Evasc Rpr A-unilac Ndgft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33500 HCPCS Repair Heart Vessel Fistula 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33864 HCPCS Ascending Aortic Graft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
32666 HCPCS Thoracoscopy W/wedge Resect 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34502 HCPCS Reconstruct Vena Cava 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
34705 HCPCS Evac Rpr A-biiliac Ndgft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
33504 HCPCS Coronary Artery Graft 1 1 — — $38,216.00 $38,216.00 $38,216.00 2026-04-01
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